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I've been using my ResMed S9 for about a month. The Quattro FX mask is comfortable, but it leaves a sharp horizontal crease on the bridge of my nose. I just spent some time in front of the mirror, and it looks like the edge of the cushion is responsible. The cushion inflates nicely, and there are no wrinkles or creases in it. I've loosened the straps considerably.

Thanks for your response! It seems like I'm doing everything right, other than trying the Gecko pads. I don't have a lot of padding anywhere on my body, and that part of my nose seems to have less than most places.

I've updated my profile to specify that I'm using the AutoSet EPR.

Am I reading the Gecko Pad price right? $25 for a piece of silicone that you replace every month? Has anybody come up with a homebrew alternative?

hsamuels, I used to have problems with the Mirae Quattro, I use small peices of material made into a small pad like a Bandaid until your nose gets used to it, the skin on our nose does get harder over time. Make sure it doesn't brake the skin and get infected. The other option is try a different mask, good luck with it

The Mirage Quattro does have the head rest, it is more to stabilise the mask, there is a new Resmed mask out called the Quattro Air, I haven't tried it yet but it is not a heavy as the others.

Do you use mask liners? They go between the mask and your face and separate the silicone from your face and the mask and help stop leaks. I make my own which are very cheap and use the off cuts for any padding, I can let you know how to make them and the type of material if you want, but to answer your question and type of material that you have lying around would do, you don't want to make it too big or it will cause leaks just about the size of a bandaid.

I ahve posted the instructions before and others will have different ideas, I bought some Remzzz’s mask liners a 6 pack and although they say to only use them once you can wash them and get about 5-6 uses. I then made a template of what I needed from their liners and went to a fabric shop and got 3 ft of 50% cotton / 50% poly fabric and cut out my own and they also last 5-6 uses, the next time I bought 3 ft of 50% cotton / 50% lycra fabric. That last me about 3 months and costs about ten dollars. No need to do any sewing.

In the US you can get them on insurance I think we cant in Australia so this is a really good cheap alternative.

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